GREAT MINES HEALTH CENTER
NPI 1033784418
Clinic/Center - Federally Qualified Health Center (FQHC) in Farmington, MO
About Great Mines Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT MINES HEALTH CENTER (NPI 1033784418), doing business as Farmington R-vii - Roosevelt Elementary, is a healthcare organization registered as a federally qualified health center (fqhc) in Farmington, Missouri and active in the NPI registry since May 2021. The organization holds 2 active CLIA laboratory certificates and lists Gregory A Roeback, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D1009671
Great Mines Health Center · Potosi, MOCertificate of Waiver 26D2143721
Great Mines Health Center Of Farmington · Farmington, MOFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Great Mines Health Center's NPI number?
The NPI number for Great Mines Health Center is 1033784418. It was assigned to this organization in the NPPES registry on May 26, 2021. The provider is doing business as Farmington R-VII - Roosevelt Elementary.
Where is Great Mines Health Center located?
Great Mines Health Center is located at 1040 Forster St Rm E2a, Farmington, MO 63640. The listed phone number is (573) 438-9355.
What is Great Mines Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Great Mines Health Center hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Great Mines Health Center was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Great Mines Health Center · NPI 1033784418
Federally Qualified Health Center (FQHC) organization in Farmington, Missouri. Organization record, active in the CMS NPPES registry since May 26, 2021.
## Identity
- **NPI:** 1033784418 (Entity type: Organization)
- **Enumerated:** May 26, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Farmington R-VII - Roosevelt Elementary (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Gregory Roeback, CEO
## Practice location
- **Address:** 1040 FORSTER ST RM E2A, Farmington, MO 63640-2604
- **Phone:** (573) 438-9355
## Record status
- **NPPES last updated:** May 26, 2021
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1033784418) · Data from the CMS NPPES public registry.